Organization
HERBERT K DIXON M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT K DIXON M.D. (PRESIDENT)
(417) 624-8390
Entity
Organization
Contact information
Practice address
3201 MCINTOSH CIR, JOPLIN, MO 64804-3647
(417) 624-8390
(417) 624-8392
Mailing address
3201 MCINTOSH CIR, JOPLIN, MO 64804-3647
(417) 624-8390
(417) 624-8392
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R4915
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760480990
—
MO
Enumeration date
02/16/2013
Last updated
02/16/2013
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